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OPD : 15-Sep-2026 09:55AM Demographic Details Child's Name: Kartikeya Singh Rawat Age: 2 Year 7 Month 22 Days Gender: Male DOB: 2024-01-24 Contact: 8516803913 Current Improvements: Started independently taking 3-4 steps, following commands, babbling Current concerns: Stubborness Interaction history: Eye contact: Sustained Quality of Interaction: age-appropriate Behavioral history: Stubbornness Birth & Perinatal History: Antenatal History Natal and Postnatal History: Past history: Investigations done- Family history: Developmental History: Gross Motor Fine Motor Language Expressive:- Communication & Language Assessment Non-Verbal Communication Grading:- Need-based communication: Consistent Drag for needs: Consistent Joint attention: Consistent Pointing: Consistent meaningful pointing Understanding gestures: Emerging Following commands (gesture + verbal): 1-step Answering Questions:- Social Response to Name Call Sitting tolerance- (in minutes) ADL Skills (Age-appropriate)- Eating: 3. Needs significant assistance Bathing: 3. Needs significant assistance Toilet training: 3. Needs significant assistance Dressing: 1. Dependent Undressing: 1. Dependent Type of Play : 4. Parallel Academic History: Is child enrolled in school: No Diet History: Food preferences: mixed Food allergies: No Junk food intake: Nil Sleep History Total sleep duration (night): 10 hours Afternoon nap: Yes Duration of Afternoon nap: 1 hour Daily Screen Time Duration: Zero Examination a. Vitals: b. Anthropometry: Head circumference: 44 cm c. General Examination d. CNS: Higher Mental Functions Sensory Examination Cranial Nerves (1â€“12) Neuromuscular Concerns Oromotor Examination Drooling: No Chewing: Proper Swallowing: Proper Impression: Downs syndrome (GDD) Advice Intervention plan: IDP 5 days/week Investigations: Behavioral audiometry/ VRA. Complete ophthalmological examination Follow up plan: Next month General recommendation- Zero Screen Time Physical interactive play No Junk food

OPD : 15-Sep-2026 09:55AM Demographic Details

Child's Name: Kartikeya Singh Rawat
Age: 2 Year 7 Month 22 Days
Gender: Male
DOB: 2024-01-24
Contact: 8516803913
Current Improvements: Started independently taking 3-4 steps, following commands, babbling
Current concerns: Stubborness

Interaction history:

Eye contact: Sustained
Quality of Interaction: age-appropriate

Behavioral history:

Stubbornness

Birth & Perinatal History: Antenatal History

Natal and Postnatal History:

Past history:

Investigations done-

Family history:

Developmental History:

Gross Motor

Fine Motor

Language

Expressive:-

Communication & Language Assessment

Non-Verbal Communication Grading:-

Need-based communication: Consistent
Drag for needs: Consistent
Joint attention: Consistent
Pointing: Consistent meaningful pointing
Understanding gestures: Emerging
Following commands (gesture + verbal): 1-step

Answering Questions:-

Social

Response to Name Call

Sitting tolerance- (in minutes)

ADL Skills (Age-appropriate)-

Eating: 3. Needs significant assistance
Bathing: 3. Needs significant assistance
Toilet training: 3. Needs significant assistance
Dressing: 1. Dependent
Undressing: 1. Dependent

Type of Play : 4. Parallel Academic History:

Is child enrolled in school: No

Diet History:

Food preferences: mixed
Food allergies: No
Junk food intake: Nil

Sleep History

Total sleep duration (night): 10 hours
Afternoon nap: Yes
Duration of Afternoon nap: 1 hour

Daily Screen Time

Duration: Zero

Examination

a. Vitals:

b. Anthropometry:

Head circumference: 44 cm

c. General Examination

d. CNS: Higher Mental Functions

Sensory Examination

Cranial Nerves (1â€“12)

Neuromuscular Concerns

Oromotor Examination

Drooling: No
Chewing: Proper
Swallowing: Proper

Impression: Downs syndrome (GDD)

Advice

Intervention plan: IDP 5 days/week
Investigations: Behavioral audiometry/ VRA. Complete ophthalmological examination
Follow up plan: Next month
General recommendation-
1. Zero Screen Time
2. Physical interactive play
3. No Junk food

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